WESTSIDE DENTAL, LLC – NPI #1336896430
Clinic/Center

WESTSIDE DENTAL, LLC is an AHC clinic located in ATLANTA, GA. NPPES has assigned the NPI number 1336896430 to WESTSIDE DENTAL, LLC on March 08, 2022. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QD0000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Dental

The NPI profile was previously updated about 3 years ago on Apr 26, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for WESTSIDE DENTAL, LLC below.

NPI Profile for
WESTSIDE DENTAL, LLC

NPI Number
1336896430
Enumeration Date

(more than 4 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
WESTSIDE DENTAL, LLC
Primary location
929 LEE ST SW
SUITE A240
ATLANTA, GA 30310
Phone: (859) 620-7587 Fax:
Mailing address
698 LEXINGTON AVE SW
ATLANTA, GA 30310-3536
Phone: (859) 620-7587 Fax:
Organization Subpart
No
Authorized Official
NATHANAEL COLE
OWNER
Phone: (470) 548-2962
Updated
Certification Date
Apr 26, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QD0000X
- Clinic/Center / Dental (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.